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Organization
VIM REHAB INC
Active
Organization
VIM REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDHAN K MUDIGONDA (PHYSICAL THERAPIST)
(810) 343-0689
Entity
Organization
Contact information
Practice address
631 N WEBSTER ST, NAPERVILLE, IL 60563-3055
(810) 343-0689
Mailing address
631 N WEBSTER ST, NAPERVILLE, IL 60563-3055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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